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Individual

DR. LEAH BARNETT STAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(800) 243-3839
Mailing address
1201 W 38TH ST, AUSTIN, TX 78705-1006

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
U3361
TX
208M00000X
Hospitalist Physician
ME143984
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043747769
NPI
TX
05
116047900
FL
01
3FZ12
BLUE CROSS BLUE SHIELD
FL
01
U3361
TEXAS MEDICAL BOARD
Enumeration date
05/12/2017
Last updated
07/25/2023
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